Provider Demographics
NPI:1336266162
Name:ABRAHAMIANS, MELINE KARTALIAN (DPT)
Entity type:Individual
Prefix:MRS
First Name:MELINE
Middle Name:KARTALIAN
Last Name:ABRAHAMIANS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3436 N VERDUGO RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1546
Mailing Address - Country:US
Mailing Address - Phone:310-854-9314
Mailing Address - Fax:
Practice Address - Street 1:3436 N VERDUGO RD STE 102
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1546
Practice Address - Country:US
Practice Address - Phone:310-854-9314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-25
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028888-1225100000X
CA37065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist